CNA Insurance
Complex Claims Consultant - NFP (Community Association D&O Liability)
CNA Insurance, San Diego, California, United States, 92189
Complex Claims Consultant - NFP (Community Association D&O Liability)
Join to apply for the
Complex Claims Consultant – NFP (Community Association D&O Liability)
role at
CNA Insurance .
You have a clear vision of where your career can go. At CNA, we strive to create a culture where people matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.
CNA is the market leader in providing Community Association Directors & Officers liability coverage and offers best‑in‑class claim service. We are searching for a dynamic self‑starter to join our team as a Complex Claims Consultant managing D&O claims for Community Associations. Claim professionals use their specialized expertise to handle claims efficiently and seamlessly in a collaborative environment focused on continuous improvement.
The Complex Claims Consultant plays a critical role in managing and resolving D&O Community Association claims by evaluating coverage, assessing liability and damages, setting timely reserves, negotiating and settling claims, and directing litigation. The role collaborates in a rich team environment with claim leadership and business partners to ensure the best possible outcome on every claim.
This individual‑contributor position works under general direction and accepts broad authority limits to manage claims with high complexity and exposure for a specialized line of business. Responsibilities include the coordination of all claim resolution activities in accordance with company protocols while achieving quality and customer service standards. The position requires regular communication with insureds.
This position enjoys a flexible, hybrid work schedule and is available in any location near a CNA office.
JOB DESCRIPTION Essential Duties & Responsibilities
Manages an inventory of highly complex commercial claims with large exposures that require specialized technical expertise and coordination, following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.
Ensures exceptional customer service by managing every aspect of the claim, interacting professionally and effectively, achieving quality and cycle‑time standards, providing timely updates, and responding promptly to inquiries and requests for information.
Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters, estimating potential claim valuation, and following company claim handling protocols.
Leads focused investigations to determine compensability, liability, and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts or other parties as necessary to verify the facts of the claim.
Resolves claims by collaborating with internal and external business partners to develop, own, and execute a claim resolution strategy that includes managing timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation, and authorizing payments within scope of authority.
Establishes and manages claim budgets by achieving timely claim resolution, selecting and actively overseeing appropriate resources, authorizing expense payments, and delivering high‑quality service in an efficient manner.
Realizes and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Claim, Recovery or SIU resources for further investigation.
Achieves quality standards by appropriately managing each claim to ensure all company protocols are followed, work is accurate and timely, files are properly documented, and claims are resolved and paid timely.
Keeps senior leadership informed of significant risks and losses by completing loss summaries, identifying claims for oversight/watch lists, and preparing and presenting succinct summaries to senior management.
Maintains subject‑matter expertise and ensures compliance with state/local regulatory requirements by following company guidelines and staying current on commercial insurance laws, regulations, or trends for the line of business.
Mentors, guides, develops, and delivers training to less experienced claim professionals.
May perform additional duties as assigned.
Reporting Relationship
Typically reports to a Manager or above.
Skills, Knowledge & Abilities
Thorough knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices.
Demonstrated expertise in effectively communicating with policyholders, skillfully explaining coverage issues, the litigation process, and the benefits of early resolution.
Proven ability to develop and execute effective negotiation strategies, with a strong track record of successfully resolving complex disputes creatively.
Strong communication and presentation skills, both verbal and written, including the ability to convey business and technical information clearly.
Demonstrated analytical and investigative mindset with critical‑thinking skills and ability to make sound business decisions to effectively evaluate and resolve ambiguous, complex, and challenging business problems.
Strong work ethic, with demonstrated time‑management and organizational skills.
Ability to work in a fast‑paced environment at high levels of productivity.
Experience interpreting complex commercial insurance policies and coverage.
Ability to manage multiple and shifting priorities in a fast‑paced and challenging environment.
Knowledge of Microsoft Office Suite and ability to learn business‑related software.
Demonstrated ability to value diverse opinions and ideas.
Education & Experience
Bachelor’s Degree or equivalent experience. Juris Doctor preferred.
Typically a minimum of six years of relevant experience, preferably with Professional Liability or Directors & Officers claims handling.
Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable.
Prior negotiation experience.
Professional designations are a plus (e.g., CPCU).
In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In the District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York, and Washington, the national base pay range for this job level is $72,000 to $141,000 annually. Salary determinations are based on various factors, including but not limited to relevant work experience, skills, certifications, and location. CNA offers a comprehensive and competitive benefits package to help employees—and their family members—achieve their physical, financial, emotional, and social wellbeing goals. For a detailed look at CNA’s benefits, please visit cnabenefits.com.
CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact leaveadministration@cna.com.
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Complex Claims Consultant – NFP (Community Association D&O Liability)
role at
CNA Insurance .
You have a clear vision of where your career can go. At CNA, we strive to create a culture where people matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.
CNA is the market leader in providing Community Association Directors & Officers liability coverage and offers best‑in‑class claim service. We are searching for a dynamic self‑starter to join our team as a Complex Claims Consultant managing D&O claims for Community Associations. Claim professionals use their specialized expertise to handle claims efficiently and seamlessly in a collaborative environment focused on continuous improvement.
The Complex Claims Consultant plays a critical role in managing and resolving D&O Community Association claims by evaluating coverage, assessing liability and damages, setting timely reserves, negotiating and settling claims, and directing litigation. The role collaborates in a rich team environment with claim leadership and business partners to ensure the best possible outcome on every claim.
This individual‑contributor position works under general direction and accepts broad authority limits to manage claims with high complexity and exposure for a specialized line of business. Responsibilities include the coordination of all claim resolution activities in accordance with company protocols while achieving quality and customer service standards. The position requires regular communication with insureds.
This position enjoys a flexible, hybrid work schedule and is available in any location near a CNA office.
JOB DESCRIPTION Essential Duties & Responsibilities
Manages an inventory of highly complex commercial claims with large exposures that require specialized technical expertise and coordination, following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.
Ensures exceptional customer service by managing every aspect of the claim, interacting professionally and effectively, achieving quality and cycle‑time standards, providing timely updates, and responding promptly to inquiries and requests for information.
Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters, estimating potential claim valuation, and following company claim handling protocols.
Leads focused investigations to determine compensability, liability, and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts or other parties as necessary to verify the facts of the claim.
Resolves claims by collaborating with internal and external business partners to develop, own, and execute a claim resolution strategy that includes managing timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation, and authorizing payments within scope of authority.
Establishes and manages claim budgets by achieving timely claim resolution, selecting and actively overseeing appropriate resources, authorizing expense payments, and delivering high‑quality service in an efficient manner.
Realizes and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Claim, Recovery or SIU resources for further investigation.
Achieves quality standards by appropriately managing each claim to ensure all company protocols are followed, work is accurate and timely, files are properly documented, and claims are resolved and paid timely.
Keeps senior leadership informed of significant risks and losses by completing loss summaries, identifying claims for oversight/watch lists, and preparing and presenting succinct summaries to senior management.
Maintains subject‑matter expertise and ensures compliance with state/local regulatory requirements by following company guidelines and staying current on commercial insurance laws, regulations, or trends for the line of business.
Mentors, guides, develops, and delivers training to less experienced claim professionals.
May perform additional duties as assigned.
Reporting Relationship
Typically reports to a Manager or above.
Skills, Knowledge & Abilities
Thorough knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices.
Demonstrated expertise in effectively communicating with policyholders, skillfully explaining coverage issues, the litigation process, and the benefits of early resolution.
Proven ability to develop and execute effective negotiation strategies, with a strong track record of successfully resolving complex disputes creatively.
Strong communication and presentation skills, both verbal and written, including the ability to convey business and technical information clearly.
Demonstrated analytical and investigative mindset with critical‑thinking skills and ability to make sound business decisions to effectively evaluate and resolve ambiguous, complex, and challenging business problems.
Strong work ethic, with demonstrated time‑management and organizational skills.
Ability to work in a fast‑paced environment at high levels of productivity.
Experience interpreting complex commercial insurance policies and coverage.
Ability to manage multiple and shifting priorities in a fast‑paced and challenging environment.
Knowledge of Microsoft Office Suite and ability to learn business‑related software.
Demonstrated ability to value diverse opinions and ideas.
Education & Experience
Bachelor’s Degree or equivalent experience. Juris Doctor preferred.
Typically a minimum of six years of relevant experience, preferably with Professional Liability or Directors & Officers claims handling.
Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable.
Prior negotiation experience.
Professional designations are a plus (e.g., CPCU).
In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In the District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York, and Washington, the national base pay range for this job level is $72,000 to $141,000 annually. Salary determinations are based on various factors, including but not limited to relevant work experience, skills, certifications, and location. CNA offers a comprehensive and competitive benefits package to help employees—and their family members—achieve their physical, financial, emotional, and social wellbeing goals. For a detailed look at CNA’s benefits, please visit cnabenefits.com.
CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact leaveadministration@cna.com.
#J-18808-Ljbffr